Oregon COVID-19 SITUATIONAL STATUS REPORT Summary as of: 3/26/2020 at 0930 Current Oregon Public Health Emergency Response Activation Level: Level 1 for COVID-19 Operation Center State Emergency Coordination Center (ECC) Status Comment Activated Activated at 1200 on 03/02/2020 State ESF-8 PHD-AOC 2020-0178 PHD Incident Management Team Activated on 1/21/2020 State ESF 8 Liaison Desk in ECC Staffed as of 1200 on 3/2/2020 Activated on 03/01/2020 for 2020-0178 Brief Update of Overall Situation in Oregon Oregon Hospital Capacity Available ICU Beds 362 Available Non-ICU Beds 2193 Available Ventilators 684 Oregon Test Results Positive Negative Total tested 316 6953 7269 Reporting total tested by person, not specimen. This number is subject to change as records are reconciled - - Age Distribution Age Group 0-19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 80 and over Not available Total 5 19 39 63 52 70 40 27 1 316 Hospitalization Status Hospitalized Yes No Not provided Total # Cases 90 170 56 316 Sex (as reported to OHA) Sex Female Male Not available Total 11 deaths reported in Oregon Oregon State Public Health Laboratory Testing o 78 specimens were received 3/25 o 121 OSPHL test results were released on 3/25 o 32 specimens pending as of 8:30 p.m. 3/25 1,620 total persons have been tested for COVID-19 at OSPHL since 2/28 # Cases 170 144 2 316 Count of ED visits COVID-like visits still make up a small proportion of all reported ED visits reported, and total ED visits might be decreasing ... 7000 6000 5000 4000 3000 2000 1000 0 Non-COVID visits COVID visits Date (each point is one day) % of all ED visits ... but the percentage of COVID-like visits is increasing. 10 9 8 7 6 5 4 3 2 1 0 1/22/2020 1/29/2020 2/5/2020 2/12/2020 2/19/2020 2/26/2020 Date (each point is one day) Page 2 of 7 3/4/2020 3/11/2020 3/18/2020 Health & Medical Lifeline Summary Component ESF8 Hospital Task Force ESF8 Long-term Care Task Force Status Impact - Dialysis - Pharmacies - Long-term Care Task Force - VA Health System - Veterinary Services - Home Care Actions Limiting Factors ANTICIPATED INSTABILITY - Projected patient influx to Oregon hospitals in the coming week if infection rates continue will cause significant surge and personal protective equipment (PPE) shortage throughout the region - Finalized survey for Ambulatory Surgery Centers to assess number of vents for possible repurpose to critical care settings - Responding to requests for emergency temporary licensure and information from providers - Planning to assist critical access hospitals with isolation - Completed initial training of COVID public health nurse consultant call team - Drafting Temporary rules to allow out of state EMS providers an emergency provisional license - Completed set up of Oregon Medical Station 3/20, safety inspection of the OMS completed - Providing communications to LPHAs regarding admission of new residents to LTFCs where there has been a positive or pending positive COVID-19 test result (last report) - Provided guidance to licensed Birthing Centers to expand services by permitting Ob-Gyns to deliver babies there instead of in hospitals (last report) - PPE stock is strained in the state and across the nation - Forecasted blood supply shortage due to reduced donation ESF8 EMS Task Force Status Impact STABLE - No Impact - Behavioral Health - Emergency Medical Services Actions - Coordinating with Oregon State Fire Marshal’s office related to EMS and fire PPE needs Limiting Factors - Epidemiological Status UNSTABLE Page 3 of 7 Surveillance - Laboratory - Clinical Guidance - Assessment/ Interventions/ Treatments - Human Services - Behavioral Health - Blood/Blood Products - Manufacturing - Distribution - Critical Clinical Research - Sterilization - Raw Materials Impact - Status STABLE Case investigation for COVID-19 is a strain on statewide public health resources Actions - Held community partner calls for: - EMS, fire, and law enforcement; - migrant and seasonal farm workers - Continuing to ensure local public health authorities (LPHAs) and Tribes have the most current information on allocation of PPE, what type of PPE is recommended and provide clear messaging to respond to inquiries on homemade PPE - Collaborating with Oregon Department of Education and Department of Human Services on guidance for continuity of mental health services per Governor’s Executive Order; meeting on Friday 3/27/2020 - Developing guidance for parents and families on mental and behavioral health resources - Implementing a substance use disorder workgroup with the first call being held on 3/26/2020 - Begin operationalizing the specimen collection module and plan with local public health and other partners Limiting - Public Health staffing at the local, Tribal and state Factors level are strained - Alignment and coordination to prevent duplicate efforts and streamline information for state, local and community partners - Ensure that all guidance documents are up-to-date on OHA website Status ANTICIPATED INSTABILITY Impact Actions - Oregon Health Authority’s ESF-8 PPE supply distribution was transitioned to centralized processing through the Emergency Coordination Center (ECC) in Salem - Mass Care Operations Team has finalized assessment team planning for four locations throughout the state to assist OHA with medical surge capabilities - Work continues to develop at the Wilsonville distribution center to be operational Monday 3/30 Limiting Factors Page 4 of 7 Fatality Management Mortuary and post mortuary services Impact - Actions - Deaths due to COVID-19 currently do not exceed statewide mortuary capacity Continuing to monitor Meeting with Oregon State Medical Examiner for mass fatality planning on 3/27/2020 Limiting Factors Prepared by Nancy Bood & Katie Kopania, SITLs • Reviewed by Shannon Allain, PSC • Approved by Ian Yocum & Melissa Powell, ICs Page 5 of 7 Food, Water & Shelter Lifeline Summary Component ESF 6 Task Force: Feeding Vulnerable Populations Status ANTICIPATED INSTABILITY Impacts - ESF 6 Task Force: Unemployment - Commercial food distribution - Commercial food supply chain - Food Distribution Programs Component Component Actions Food security and food distribution concerns for families reliant on school food nutrition plans, seniors, individuals with access and functional needs, the homeless and other vulnerable populations Ensure PPE for critical non-medical professionals are included on the State Distribution Plan for social service operations - Ensure stability of volunteer workforce - The Oregon Department of Education and continues to work with schools to provide meals for children in their districts Through our partnerships with Business Oregon and OEM’s Public and Private Partnerships Coordinator, utilize existing food providers, restaurants, in-store deli and food services, campus food service and other established food preparation systems in order to support Oregon’s local economy - Monitor food and feeding activities, anticipate future vulnerabilities and remains focused on solutions to lessen the economic impact to the restaurant industry - Limiting Factors -National impacts of COVID-19 and statewide Stay Home, Save Lives guidance may impact food supplies and distribution chains ESF 6 Status STABLE - Drinking Water - Utilities - Wastewater systems - Commercial Water Supply Impacts Actions Limiting Factors - None identified at this time Page 6 of 7 Component - Homeless Populations Task Force - Childcare Task Force - Abuse and Neglect Working Group - Alternative Facilities for Step-Down Patient care/Support OHP IMT - Housing (e.g. homes, shelters) - Commercial Facilities (e.g. hotels) - Unemployment Animals and Agriculture Status ANTICIPATED INSTABILITY Impacts - Actions - - Ensuring whole community safety, security and wellbeing Coordinate with local jurisdictions to ensure they receive the support and assets necessary to keep children and families safe as they implement the Stay Home, Save Lives guidance Finalize planning operation for shuttered long term care facility retroactively Work within a structure of multiple task forces and work groups to implement a whole community approach to solutions and long term planning Community and social norms are significantly impacted by the spread of COVID-19 and Stay Home, Save Lives guidance Limiting Factors - Status STABLE Impacts Actions Limiting Factors None identified at this time Prepared by Jasen McCoy SITL • Reviewed by Ron Zilli PSC• Approved by Jim Walker ECC Oregon Resources OHA Public Health COVID-19 Local Public Health Authority Directory ODE and OHA’s CD Guidance Emerging Respiratory Infections: COVID-19 OEM COVID-19 Resources Other Resources CDC Coronavirus Disease 2019 (COVID-19) CDC Hygiene Etiquette CDC Handwashing Campaign SAMHSA Coping with Stress During Outbreaks CDC Helping Children Cope with Emergencies 2020-0178 COVID-19 Command Staff Current ESF8 Incident Commanders: Ian Yocum & Melissa Powell Incoming ESF8 Incident Commanders: Ian Yocum & Melissa Powell State ECC Manager: Jim Walker Incoming State ECC Manager: Bill Martin Page 7 of 7